Yuma Mettelus

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

40 Londonderry Dr
Palm Coast, FL 32137-9768

Phone

(386) 864-4064

NPI assigned

Apr 19, 2016

Last updated

Sep 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1992159628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LONDONDERRY DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321379768",
            "telephone_number": "386-864-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LONDONDERRY DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321379768",
            "telephone_number": "386-864-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METTELUS",
        "first_name": "YUMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoshanah Mercado, ED.S
• Sabine Merville, DDS
• Marangely Mesa, LMHC
• Metcare of Palm Coast (Conviva Care Center)
• Metro Treatment of Florida, LP (New Season Treatment Center 35)
• Patrick Meyer, COTA
• Glenn D. Meyers, M.D.
• MH Health Care Services, PC
• Michael Matuszczak DC, PA
• Michael Struble, P.a. (Palm Coast Chiropractic Clinic)

• Mental Health Counselor in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.